Effect of lockdown for COVID-19 on self-reported body weight gain in a sample of obese patients

Román, Daniel Antonio de Luis; Izaola, Olatz; Martin, David P.; Hoyos, Emilia Gómez; Torres, Beatriz; Gómez, Juan José López

doi:10.20960/nh.03307

Cited by 37 publications

(46 citation statements)

References 18 publications

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“…Besides the use of telemedicine, there were a number of factors that were associated with healthier weight change trends over lockdown according to univariate analysis in our study. Those who increased weekly exercise time were more likely to lose weight overall, and this was similarly reported surveys from China [20] and Spain [2]. Respondents who had a positive change in their dietary habit score (based on consumption of sweet and salty processed snacks, fruits, vegetables and homemade food) reported weight loss, while those that had a negative change gained weight and this difference was significant.…”

Section: Discussionsupporting

confidence: 65%

“…Respondents who had a positive change in their dietary habit score (based on consumption of sweet and salty processed snacks, fruits, vegetables and homemade food) reported weight loss, while those that had a negative change gained weight and this difference was significant. A deterioration in dietary habits was associated with weight gain in surveys form around the word during quarantine, including snacking [2], night eating [21], "bingeing on food" [22], and consumption of sugary drinks, pastries and fried foods [3]. Furthermore, in our study an improved mood was associated with weight loss, and a decline in mood was associated with weight gain.…”

Section: Discussionsupporting

confidence: 55%

“…A number of studies have demonstrated an association between these restrictions and weight gain, which may be attributed to several factors [1][2][3][4]. It is known that people tend to eat excessively when they are unable to express their feelings, which is a characteristic of lockdown [5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Managing Obesity in Lockdown: Survey of Health Behaviors and Telemedicine

et al. 2021

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Since the outbreak of COVID-19, billions of people have gone into lockdown, facing pandemic related challenges that engender weight gain, especially in the obese. We report the results of an online survey, conducted during Israel’s first quarantine, of 279 adults treated in hospital-based obesity clinics with counseling, medications, surgery, endoscopic procedures, or any combination of these for weight loss. In this study, we assessed the association between changes in dietary and lifestyle habits and body weight, and the benefits of receiving weight management care remotely through telemedicine during lockdown. Compared to patients not receiving obesity care via telemedicine, patients receiving this care were more likely to lose weight (OR, 2.79; p = 0.042) and also to increase participation in exercise (OR, 2.4; p = 0.022). While 40% of respondents reported consuming more sweet or salty processed snacks and 33% reported less vegetables and fruits, 65% reported more homemade foods. At the same time, 40% of respondents reported a reduction in exercise and 52% reported a decline in mood. Alterations in these eating patterns, as well as in exercise habits and mood, were significantly associated with weight changes. This study highlights that lockdown affects health behaviors associated with weight change, and advocates for the use of telemedicine to provide ongoing obesity care during future quarantines in order to promote weight loss and prevent weight gain.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionsupporting

confidence: 55%

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Managing Obesity in Lockdown: Survey of Health Behaviors and Telemedicine

et al. 2021

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“…The authors found that increments in BW should be considered an alarming negative effect of lockdown, as they might lead to a higher prevalence of overweight, obesity and related health-risks [68]. In a study including only obese subjects, more than one third reported an increase in their body weight during/after lockdown [69]. This finding is consistent with enhanced unhealthy eating patterns and sedentarity, indicating that this group may find it more difficult to control BW during a lockdown.…”

Section: Obesity and Covid-19: An Additional Risk Factor With Nutritional Implicationsmentioning

confidence: 83%

Nutritional management of individuals with obesity and COVID-19: ESPEN expert statements and practical guidance

et al. 2022

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The COVID-19 pandemics has created unprecedented challenges and threats to patients and healthcare systems worldwide. Acute respiratory complications that require intensive care unit (ICU) management are a major cause of morbidity and mortality in COVID-19 patients. Among other important risk factors for severe COVID-19 outcomes, obesity has emerged along with undernutrition-malnutrition as a strong predictor of disease risk and severity. Obesity-related excessive body fat may lead to respiratory, metabolic and immune derangements potentially favoring the onset of COVID-19 complications. In addition, patients with obesity may be at risk for loss of skeletal muscle mass, reflecting a state of hidden malnutrition with a strong negative health impact in all clinical settings. Also importantly, obesity is commonly associated with micronutrient deficiencies that directly influence immune function and infection risk. Finally, the pandemic-related lockdown, deleterious lifestyle changes and other numerous psychosocial consequences may worsen eating behaviors, sedentarity, body weight regulation, ultimately leading to further increments of obesity-associated metabolic complications with loss of skeletal muscle mass and higher non-communicable disease risk. Therefore, prevention, diagnosis and treatment of malnutrition and micronutrient deficiencies should be routinely included in the management of COVID-19 patients in the presence of obesity; lockdown-induced health risks should also be specifically monitored and prevented in this population. In the current document, the European Society for Clinical Nutrition and Metabolism (ESPEN) aims at providing clinical practice guidance for nutritional management of COVID-19 patients with obesity in various clinical settings.

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“…Another survey study has found a mean of 1.5 kg increase after one month of the lockdown period, self-reported anxiety and depression found a risk factor for weight gain [ 8 ]. Also, another recent study reported weight gain after lockdown beginning among obese people which was attributed to snacking habit [ 9 ]. Therefore, we might come closer to a common opinion about weight gain after the lockdown period.…”

Section: Discussionmentioning

confidence: 99%